DAILY MEAL ORDER/INVOICE
DAILY MEAL ORDER/INVOICE
MOBILE FOOD SERVICES | 1. Contract Number
AG-024B-05-9017 |2. Invoice Date
06/15/05 |3. Mobile Food Service Unit ID No.
K-1 |4. Invoice No.
1 | |
| | 5. Incident Name |6. Job Code | 7. Resource Order No. / Request No. |8. Benefiting Unit, Region / Agency |
| |Big Bad Fire |P6BKIB |OR-SIF-000011 E-7 |Wenatchee NF/R6/USFS |
| 9. Paying Unit | 10. Contractor Name and Address |
|INCIDENT BUSINESS-CONTRACTS |Blagg’s Food Service |
|ALBUQUERQUE SERVICE CENTER |21885 Highway |
|101B SUN AVENUE NE |Bella Vista, CA 96008 |
|ALBUQUERQUE, NM 87109 | |
| 11. | 12. | 13. |11. | 12. |13. |
|Meals |Serve/ |Menu and Menu Approvals |Meals |Serve/ |Menu and Menu Approvals |
|Ordered |C/I/D |Major Items & Signatures |Ordered |C/I/D |Major Items & Signatures |
| |Times* | | |Times* | |
| Breakfast | | | Sack | | |
| | | |Lunch | | |
| | | | | | |
| | | | | | | | |
| | |Government Representative |Contractor Representative | | |Government Representative |Contractor Representative |
| Cold Can | | | Dinner | | |
|Breakfast | | | | | |
| | | |600 |1800 | |
|- | | | |120i 1300 | |
| | | | |720c 1445 | |
| | | | | | | | |
| | |Government Representative |Contractor Representative | | |Government Representative |Contractor Representative |
| |
| | 14. |15. Number and Price of meals For Payment Purpose | 16. |
| |Actual Number of | |Totals |
| |Meals Served / Time | | |
| | |Meal and Prices |Price Per Meal | |
| Breakfast |-0- | |Breakfast @ Price | $ 13.25 | $ -0- |
| Cold Can Br |-0- | |Cold Can Breakfast @ Price | $ 14.25 | $ -0- |
| Sack Lunch | -0- | |Sack Lunch @ Price | $ 13.95 | $ -0- |
| Dinner |-0- |648 |Dinner @ Price | $ 19.15 | $ 12,409.20 |
|Subtotal: | $ 12,409.20 |
| |
| 17. Unit Description | 18. |19. Mileage |20. Usage / Relocation |Service | 21. |
|and Number |Location | | | |Totals |
| | |No. |Price |No. |Price/Fee | | |
|Kitchen |K-1 |From: |Redding, CA |420 mi. |
|Unit | | | | |
|22. SUPPLEMENTAL FOODS AND BEVERAGES (total from 1276-B) | $ 0 |
|23. MISCELLANEOUS CHARGES AND CREDITS (total from 1276-B) | $ 0 |
| | $ 18,994.20 |
|24. TOTAL INVOICE AMOUNT | |
|* Serve / Cancel / Increase / Decrease Times |
| |
| 25. REMARKS |
|Dinner order increased by 120 at 1300 hrs. Dinner order then cancelled by 720 at 1445. Contractor arrived at the incident on time and began preparations, however|
|they were unable to meet delivery schedule because the Government delayed selecting a location for the contractor to set-up. 90% rule applies to the number of |
|meals ordered. Beginning Odometer Reading 156580, Ending Odometer Reading 157000. |
| 26. I certify that the above mentioned services have been received | 27. I certify that this bill is correct and payment has not been received |
|(Government Representative) |(Contractor Representative) |
| Name (print / sign), Title, Work Address & Phone No. | Name (print / sign), Title & Phone No. |
|Mike Government, FDUL Mike Government (208) 387-5665 |Joe Contractor, Manager Joe Contractor (555) 783-6556 |
1276-A (1/05)
|DAILY MEAL ORDER/INVOICE | 1. Contract Number |2. Invoice Date |3. Mobile Food Service Unit ID No. |4. Invoice No. |
|MOBILE FOOD SERVICES |AG-024B-05-9017 |06/16/05 |K-1 |2 |
| | 5. Incident Name |6. Job Code | 7. Resource Order No. / Request No. |8. Benefiting Unit, Region / Agency |
| |Big Bad Fire |P6BKIB |OR-SIF-000011 E-7 |Wenatchee NF/R6/USFS |
| 9. Paying Unit | 10. Contractor Name and Address |
|INCIDENT BUSINESS-CONTRACTS |Blagg’s Food Service |
|ALBUQUERQUE SERVICE CENTER |21885 Highway |
|101B SUN AVENUE NE |Bella Vista, CA 96008 |
|ALBUQUERQUE, NM 87109 | |
| 11. | 12. | 13. |11. | 12. |13. |
|Meals |Serve/ |Menu and Menu Approvals |Meals |Serve/ |Menu and Menu Approvals |
|Ordered |C/I/D |Major Items & Signatures |Ordered |C/I/D |Major Items & Signatures |
| |Times* | | |Times* | |
| Breakfast | | | Sack | | |
| | | |Lunch | | |
|800 |0600 | |720 |0500 | |
| | | | | | | | |
| | |Government Representative |Contractor Representative | | |Government Representative |Contractor Representative |
| Cold Can | | | Dinner | | |
|Breakfast | | | | | |
| | | |800 |1700 | |
|- | | | | | |
| | | | | | | | |
| | |Government Representative |Contractor Representative | | |Government Representative |Contractor Representative |
| |
| | 14. |15. Number and Price of meals For Payment Purpose | 16. |
| |Actual Number of | |Totals |
| |Meals Served / Time | | |
| | |Meal and Prices |Price Per Meal | |
| Breakfast |715 / 0600 |720 |Breakfast @ Price | $ 13.25 | $ 9,540.00 |
| Cold Can Br |-0- | |Cold Can Breakfast @ Price | $ 14.25 | $ -0- |
| Sack Lunch | 720 / 0500 |720 |Sack Lunch @ Price | $ 13.95 | $ 10,044.00 |
| Dinner |750 / 1700 |750 |Dinner @ Price | $ 19.15 | $ 14,362.50 |
|Subtotal: | $ 33,946.00 |
| |
| 17. Unit Description | 18. |19. Mileage |20. Usage / Relocation |Service | 21. |
|and Number |Location | | | |Totals |
| | |No. |Price |No. |Price/Fee | | |
|Kitchen | |From: | | |
|Unit | | | | |
|22. SUPPLEMENTAL FOODS AND BEVERAGES (total from 1276-B) | $ 0 |
|23. MISCELLANEOUS CHARGES AND CREDITS (total from 1276-B) | $ -340.00 |
| | $ 34,206.50 |
|24. TOTAL INVOICE AMOUNT | |
|* Serve / Cancel / Increase / Decrease Times |
| |
| 25. REMARKS |
|All meals ordered 6/15 @ 1500 hrs. |
| 26. I certify that the above mentioned services have been received | 27. I certify that this bill is correct and payment has not been received |
|(Government Representative) |(Contractor Representative) |
| Name (print / sign), Title, Work Address & Phone No. | Name (print / sign), Title & Phone No. |
|Mike Government, FDUL Mike Government (208) 387-5665 |Joe Contractor, Manager Joe Contractor (555) 783-6556 |
1276-A (1/05)
DAILY MEAL ORDER/INVOICE – MOBILE FOOD SERVICES (CONTINUATION SHEET)
|28. SUPPLEMENTAL FOODS AND BEVERAGES |
|Date Ordered |Food Unit Leader |Contractor |Invoice No. |
|6/16/05 |Mike Government |Blagg’s Food Service Unit K-1 |2 |
|Item |Unit |Units |Units |Date Received |Unit |Extended |
| | |Ordered |Received |& Initials |Price |Price |
|Fruit Juices (48/case) (5-6 oz. each) |case | | | | |$ |$ |
|Milk (48/case) (8 oz. each) |case | | | | |$ |$ |
|Bottled Sports Type Drink |ounce | | | | |$ |$ |
|Brewed Coffee (outside incident dining area) |gallon | | | | |$ |$ |
|Hot Chocolate (outside incident dining area) |gallon | | | | |$ |$ |
|Tea (iced or hot) (outside incident dining area) |gallon | | | | |$ |$ |
|Bottled Water |ounce | | | | |$ |$ |
|Trail Mix |ounce | | | | |$ |$ |
|Granola Bars |ounce | | | | |$ |$ |
|Salted Peanuts |ounce | | | | |$ |$ |
|Salted Mixed Nuts |ounce | | | | |$ |$ |
|Yogurt |ounce | | | | |$ |$ |
|Fresh Apples (minimum size 100 count) |case | | | | |$ |$ |
|Fresh oranges (minimum size 88 count) |case | | | | |$ |$ |
|Fresh Whole Bananas |pound | | | | |$ |$ |
|Dried Apricots (pre-packaged) |ounce | | | | |$ |$ |
|Dried Prunes (pre-packaged) |ounce | | | | |$ |$ |
|Dried Banana Chips (pre-packaged) |ounce | | | | |$ |$ |
|Soup for 25 persons |gallon | | | | |$ |$ |
|Stew for 25 persons |gallon | | | | |$ |$ |
|Dinner Rolls (wheat and/or white) |dozen | | | | |$ |$ |
|Ice |pound | | | | |$ |$ |
|Ground Coffee |pound | | | | |$ |$ |
| | | |
| |TOTAL: |$ |
| |
|29. MISCELLANEOUS CHARGES AND CREDITS |
|Item | |Description | | |Amount |
|Optional Refer Space | |10 sq. ft. @ $2.00/sq. ft. | |$ |20.00 |
| | | | |$ | |
|W.O. #1 | |$3.00 deduction for 120 sack lunches see remarks below | |$ |-360.00 |
| | | | |$ | |
| |TOTAL: |$ | -$340.00 |
| |
| 30. REMARKS |
|Optional Refer space needed to store excess sack lunches. Gov’t. refer not available. |
| |
|120 sack lunches did not provide 2nd entrée as required. Contractor agrees to $3.00 deduction/sack lunch for this deficiency. |
| 31. I certify that the above charges and/or credits are correct. |
| Government Representative and Date 6/16/05 | Contractor Representative and date 6/16/05 |
|Mike Government, FDUL Mike Government (208) 387-5665 |Joe Contractor, Manager Joe Contractor (555) 783-6556 |
1276-B (1/05)
|DAILY MEAL ORDER/INVOICE | 1. Contract Number |2. Invoice Date |3. Mobile Food Service Unit ID No. |4. Invoice No. |
|MOBILE FOOD SERVICES |AG-024B-05-9017 |06/17/05 |K-1 |3 |
| | 5. Incident Name |6. Job Code | 7. Resource Order No. / Request No. |8. Benefiting Unit, Region / Agency |
| |Big Bad Fire |P6BKIB |OR-SIF-000011 E-7 |Wenatchee NF/R6/USFS |
| 9. Paying Unit | 10. Contractor Name and Address |
|INCIDENT BUSINESS-CONTRACTS |Blagg’s Food Service |
|ALBUQUERQUE SERVICE CENTER |21885 Highway |
|101B SUN AVENUE NE |Bella Vista, CA 96008 |
|ALBUQUERQUE, NM 87109 | |
| 11. | 12. | 13. |11. | 12. |13. |
|Meals |Serve/ |Menu and Menu Approvals |Meals |Serve/ |Menu and Menu Approvals |
|Ordered |C/I/D |Major Items & Signatures |Ordered |C/I/D |Major Items & Signatures |
| |Times* | | |Times* | |
| Breakfast | | | Sack | | |
| | | |Lunch | | |
|800 |0600 | |380 |0500 | |
| | | | | | | | |
| | |Government Representative |Contractor Representative | | |Government Representative |Contractor Representative |
| Cold Can | | | Dinner | | |
|Breakfast | | | | | |
| | | |800 |1700 | |
|- | | | | | |
| | | | | | | | |
| | |Government Representative |Contractor Representative | | |Government Representative |Contractor Representative |
| |
| | 14. |15. Number and Price of meals For Payment Purpose | 16. |
| |Actual Number of | |Totals |
| |Meals Served / Time | | |
| | |Meal and Prices |Price Per Meal | |
| Breakfast |725 / 0600 |725 |Breakfast @ Price | $ 13.25 | $ 9,606.25 |
| Cold Can Br |-0- | |Cold Can Breakfast @ Price | $ 14.25 | $ -0- |
| Sack Lunch |380 / 0500 |380 |Sack Lunch @ Price | $ 13.95 | $ 5,301.00 |
| Dinner |700 / 1700 |720 |Dinner @ Price | $ 19.15 | $ 13,788.00 |
|Subtotal: | $ 28,695.25 |
| |
| 17. Unit Description | 18. |19. Mileage |20. Usage / Relocation |Service | 21. |
|and Number |Location | | | |Totals |
| | |No. |Price |No. |Price/Fee | | |
|Kitchen | |From: | | |
|Unit | | | | |
|22. SUPPLEMENTAL FOODS AND BEVERAGES (total from 1276-B) | $ 211.20 |
|23. MISCELLANEOUS CHARGES AND CREDITS (total from 1276-B) | $ |
| | $ 29,506.45 |
|24. TOTAL INVOICE AMOUNT | |
|* Serve / Cancel / Increase / Decrease Times |
| |
| 25. REMARKS |
|All meals ordered 6/15 @ 1500 hrs. |
| 26. I certify that the above mentioned services have been received | 27. I certify that this bill is correct and payment has not been received |
|(Government Representative) |(Contractor Representative) |
| Name (print / sign), Title, Work Address & Phone No. | Name (print / sign), Title & Phone No. |
|Mike Government, FDUL Mike Government (208) 387-5665 |Joe Contractor, Manager Joe Contractor (555) 783-6556 |
1276-A (1/05)
DAILY MEAL ORDER/INVOICE – MOBILE FOOD SERVICES (CONTINUATION SHEET)
|28. SUPPLEMENTAL FOODS AND BEVERAGES |
|Date Ordered |Food Unit Leader |Contractor |Invoice No. |
|6/17/05 |Mike Government |Blagg’s Food Service Unit K-1 |3 |
|Item |Unit |Units |Units |Date Received |Unit |Extended |
| | |Ordered |Received |& Initials |Price |Price |
|Fruit Juices (48/case) (5-6 oz. each) |case | | | | |$ |$ |
|Milk (48/case) (8 oz. each) |case | | | | |$ |$ |
|Bottled Sports Type Drink |ounce | | | | |$ |$ |
|Brewed Coffee (outside incident dining area) |gallon | | | | |$ |$ |
|Hot Chocolate (outside incident dining area) |gallon | | | | |$ |$ |
|Tea (iced or hot) (outside incident dining area) |gallon | | | | |$ |$ |
|Bottled Water |ounce |4000 |4224 |6/17/05 |MG |$ .05 |$ 211.20 |
|Trail Mix |ounce | | | | |$ |$ |
|Granola Bars |ounce | | | | |$ |$ |
|Salted Peanuts |ounce | | | | |$ |$ |
|Salted Mixed Nuts |ounce | | | | |$ |$ |
|Yogurt |ounce | | | | |$ |$ |
|Fresh Apples (minimum size 100 count) |case | | | | |$ |$ |
|Fresh oranges (minimum size 88 count) |case | | | | |$ |$ |
|Fresh Whole Bananas |pound | | | | |$ |$ |
|Dried Apricots (pre-packaged) |ounce | | | | |$ |$ |
|Dried Prunes (pre-packaged) |ounce | | | | |$ |$ |
|Dried Banana Chips (pre-packaged) |ounce | | | | |$ |$ |
|Soup for 25 persons |gallon | | | | |$ |$ |
|Stew for 25 persons |gallon | | | | |$ |$ |
|Dinner Rolls (wheat and/or white) |dozen | | | | |$ |$ |
|Ice |pound | | | | |$ |$ |
|Ground Coffee |pound | | | | |$ |$ |
| | | |
| |TOTAL: |$ 211.20 |
| |
|29. MISCELLANEOUS CHARGES AND CREDITS |
|Item | |Description | | |Amount |
| | | | |$ | |
| | | | |$ | |
| | | | |$ | |
| | | | |$ | |
| |TOTAL: |$ | |
| |
| 30. REMARKS |
|Bottled water was purchased by the case. 11 cases were delivered. Each case contained 24 each 16 oz. bottles for a total of 4,224 oz. delivered. |
| |
| |
| 31. I certify that the above charges and/or credits are correct. |
| Government Representative and Date 6/17/05 | Contractor Representative and date 6/17/05 |
|Mike Government, FDUL Mike Government (208) 387-5665 |Joe Contractor, Manager Joe Contractor (555) 783-6556 |
1276-B (1/05)
|DAILY MEAL ORDER/INVOICE | 1. Contract Number |2. Invoice Date |3. Mobile Food Service Unit ID No. |4. Invoice No. |
|MOBILE FOOD SERVICES |AG-024B-05-9017 |06/18/05 |K-1 |4 |
| | 5. Incident Name |6. Job Code | 7. Resource Order No. / Request No. |8. Benefiting Unit, Region / Agency |
| |Big Bad Fire |P6BKIB |OR-SIF-000011 E-7 |Wenatchee NF/R6/USFS |
| 9. Paying Unit | 10. Contractor Name and Address |
|INCIDENT BUSINESS-CONTRACTS |Blagg’s Food Service |
|ALBUQUERQUE SERVICE CENTER |21885 Highway |
|101B SUN AVENUE NE |Bella Vista, CA 96008 |
|ALBUQUERQUE, NM 87109 | |
| 11. | 12. | 13. |11. | 12. |13. |
|Meals |Serve/ |Menu and Menu Approvals |Meals |Serve/ |Menu and Menu Approvals |
|Ordered |C/I/D |Major Items & Signatures |Ordered |C/I/D |Major Items & Signatures |
| |Times* | | |Times* | |
| Breakfast | | | Sack | | |
| | | |Lunch | | |
|800 |0600 | | | | |
| | | | | | | | |
| | |Government Representative |Contractor Representative | | |Government Representative |Contractor Representative |
| Cold Can | | | Dinner | | |
|Breakfast | | | | | |
| | | | | | |
|- | | | | | |
| | | | | | | | |
| | |Government Representative |Contractor Representative | | |Government Representative |Contractor Representative |
| |
| | 14. |15. Number and Price of meals For Payment Purpose | 16. |
| |Actual Number of | |Totals |
| |Meals Served / Time | | |
| | |Meal and Prices |Price Per Meal | |
| Breakfast |650/ 0600 |720 |Breakfast @ Price | $ 13.25 | $ 9,540.00 |
| Cold Can Br |-0- | |Cold Can Breakfast @ Price | $ 14.25 | $ -0- |
| Sack Lunch |-0- | |Sack Lunch @ Price | $ 13.95 | $ -0- |
| Dinner |-0- | |Dinner @ Price | $ 19.15 | $ -0- |
|Subtotal: | $ 9,540.00 |
| |
| 17. Unit Description | 18. |19. Mileage |20. Usage / Relocation |Service | 21. |
|and Number |Location | | | |Totals |
| | |No. |Price |No. |Price/Fee | | |
|Kitchen | K-1 |From: |Wenatchee, WA |420 |
|Unit | | | | |
|22. SUPPLEMENTAL FOODS AND BEVERAGES (total from 1276-B) | $ |
|23. MISCELLANEOUS CHARGES AND CREDITS (total from 1276-B) | $ |
| | $ 16,125.00 |
|24. TOTAL INVOICE AMOUNT | |
|* Serve / Cancel / Increase / Decrease Times |
| |
| 25. REMARKS |
|All meals ordered 6/17 @ 1500 hrs. |
|Released kitchen @ 0900 hrs. |
| 26. I certify that the above mentioned services have been received | 27. I certify that this bill is correct and payment has not been received |
|(Government Representative) |(Contractor Representative) |
| Name (print / sign), Title, Work Address & Phone No. | Name (print / sign), Title & Phone No. |
|Mike Government, FDUL Mike Government (208) 387-5665 |Joe Contractor, Manager Joe Contractor (555) 783-6556 |
1276-A (1/05)
| |1. Paying Unit |2. Contractor Name, Address |3. Contractor Number |4. Invoice Date |5. Shower ID No. |6. Invoice No. |
|DAILY SHOWER | | | | | | |
|ORDER/INVOICE | | | | | | |
|MOBILE SHOWER | | | | | | |
|FACILITIES | | | | | | |
| | INCIDENT BUSINESS-CONTRACTS |Action Sanitary | 53-024B-4-2405 | 06 /15/05 |S-1 |1 |
| |ALBUQUERQUE SERVICE CENTER | | | | | |
| |101B SUN AVENUE NE | | | | | |
| |ALBUQUERQUE, NM 87109 | | | | | |
| | |P.O. Box 492 |7. Incident Name |8. Job Code |9. Resource Order |
| | |Lower Lake, CA 95457 |Big Bad Fire |P6BKIB |OR-SIF-000011 |
| | |TIN: |10. Benefiting Unit, Region/Agency |Request No. |
| | |DUNS: |Wenatchee NF/R6/USFS |E-8 |
|SHOWER FACILITIES UNIT DISPATCHED BY THE GOVERNMENT TO AN INCIDENT |
|11. Unit |12. |13. |14. |15. |16. |17. *Transportation |
| | | |Mileage |Usage |Relocation |H2O |
| | | | | |Fee | |
|OPTIONAL EQUIPMENT DISPATCHED BY GOVERNMENT TO AN INCIDENT | | | | | | |
|Unit | | |Mileage |Usage |Relocation |Transportati|Intermittent Use |
| | | | | |Fee |on H2O | |
| | |
|Block #13 Beginning Odometer Reading 185549 |Names (print and sign), Title, Work Address and Phone |
|Ending Odometer Reading 186450 | |
|1 hour intermittent use ordered to provide potable water to kitchen unit. |Mike Government, FDUL Mike Government (208) 387-5665 |
| |123 Roadway |
|Shower Unit operational at 1630 hrs. However, Government delayed selection of site location for set-up. Payment for |Boise, ID 8370 |
|Shower Unit will begin at time of arrival to the incident (1300 Hrs.) per Section G.2 2.4. | |
| |24. I certify this bill is correct and payment has not been received (Contractor Representative) |
| |Name (print and sign), Title and Phone |
| |Jane Contractor, Shower Manager Jane Contractor |
| |(123) 456-7890 |
1276-C (2/2004)
| |
| |
| |
| |
|DAILY SHOWER ORDER/INVOICE – MOBILE SHOWER FACILITIES (CONTINUATION SHEET) |
|Date |Government Representative |Contractor |Invoice No. |
|6/15/05 |Mike Government, FDUL Mike Government (208) 387-5665 |Action Sanitary S-1 |1 |
| |25. TRANSPORTING WATER |26. INTERMITTENT USE |
|Unit |Name of |Odometer | |Time | |
| | | |TOTAL | |TOTAL TIME |
| | | |MILES | | |
|ID |Locations |Readings | |(Military) | |
| No. * |
| | | | | | |
| | | | | | |
|28. I certify the charges and/or credits are correct. |I certify the charges and/or credits are correct. |
| | | | | | | |
| | INCIDENT BUSINESS-CONTRACTS |Action Sanitary | 53-024B-4-2405 |6/18/05 |S-1 |4 |
| |ALBUQUERQUE SERVICE CENTER | | | | | |
| |101B SUN AVENUE NE | | | | | |
| |ALBUQUERQUE, NM 87109 | | | | | |
| | |P.O. Box 492 |7. Incident Name |8. Job Code |9. Resource Order |
| | |Lower Lake, CA 95457 |Big Bad Fire |P6BKIB |OR-SIF-000011 |
| | |TIN: |10. Benefiting Unit, Region/Agency |Request No. |
| | |DUNS: |Wenatchee NF/R6/USFS |E-8 |
|SHOWER FACILITIES UNIT DISPATCHED BY THE GOVERNMENT TO AN INCIDENT |
|11. Unit |12. |13. |14. |15. |16. |17. *Transportation |
| | | |Mileage |Usage |Relocation |H2O |
| | | | | |Fee | |
|OPTIONAL EQUIPMENT DISPATCHED BY GOVERNMENT TO AN INCIDENT | | | | | | |
|Unit | | |Mileage |Usage |Relocation |Transportati|Intermittent Use |
| | | | | |Fee |on H2O | |
| | |
|Block #13 Beginning Odometer Reading 186450 |Mike Government, FDUL Mike Government (208) 387-5665 |
|Ending Odometer Reading 187360 | |
| |123 Roadway |
| |Boise, ID 8370 |
|Released at 1030 hrs. | |
| |24. I certify this bill is correct and payment has not been received (Contractor Representative) |
| |Name (print and sign), Title and Phone |
| |Jane Contractor, Shower Manager Jane Contractor |
| |(123) 456-7890 |
1276-C (2/2004)
| |
| |
| |
|DAILY SHOWER ORDER/INVOICE – MOBILE SHOWER FACILITIES (CONTINUATION SHEET) |
|Date |Government Representative |Contractor |Invoice No. |
|6/18/05 |Mike Government, FDUL Mike Government (208) 387-5665 |Action Sanitary S-1 |4 |
| |25. TRANSPORTING WATER |26. INTERMITTENT USE |
|Unit |Name of |Odometer | |Time | |
| | | |TOTAL | |TOTAL TIME |
| | | |MILES | | |
|ID |Locations |Readings | |(Military) | |
| No. * |
| | | | | | |
| | | | | | |
|28. I certify the charges and/or credits are correct. |I certify the charges and/or credits are correct. |
| | | | | | | | | | | | | | | | | | | | | | |6/17/05 | |JaneContractor | | |6/17/05 | |Mike Government | | | |Date | |Contractor | | |Date | |Government Representative | | | | | | | | | | | | | |
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